Individual
MR. EDWARD CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, CFMT
Contact information
Practice address
1600 DOVE ST STE 320, NEWPORT BEACH, CA 92660-2489
(949) 629-5211
(949) 785-3191
Mailing address
1600 DOVE ST STE 320, NEWPORT BEACH, CA 92660-2489
(949) 629-5211
(949) 785-3191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28506
CA
2251X0800X
Orthopedic Physical Therapist
Primary
28506
CA
Other
Enumeration date
03/02/2009
Last updated
02/04/2026
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